| Carolina Medicorp Enterprises,inc | |
|
9600 E Independence Blvd Ste 170 Matthews NC 28105-4628 | |
| (704) 384-8441 | |
| (704) 384-8442 |
| Full Name | Carolina Medicorp Enterprises,inc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 9600 E Independence Blvd Ste 170, Matthews, North Carolina |
| Authorized Official Name and Position | Geoffrey Gardner (VP FINANCE) |
| Authorized Official Contact | 7043849890 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Medicorp Enterprises,inc Po Box 751803 Charlotte NC 28275-1803 Ph: (704) 384-8441 | Carolina Medicorp Enterprises,inc 9600 E Independence Blvd Ste 170 Matthews NC 28105-4628 Ph: (704) 384-8441 |
| NPI Number | 1346529500 |
|---|---|
| Provider Enumeration Date | 08/05/2011 |
| Last Update Date | 10/02/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346529500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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